“The recent changes to Medicare Part D included in the Bipartisan Budget Act (BBA) of 2018 could not only undermine the competitive nature of the program that has contributed to its long-term success, but also impact seniors’ ability to afford the medications they need to stay healthy. Additionally, a looming Part D cliff threatens to increase out-of-pocket spending for seniors by raising the amount needed to reach catastrophic coverage by $1,250 by the year 2020. With Congress returning to close out the year, we strongly urge members to implement new legislation that would fix these pressing problems and preserve access to care for aging men and women across the country.”